OpRec FHI 360 Consultancy Opportunity for TB Private Sector Project

PositionTitle: Consultant Scope of Work for Strengthening DPPM Stewardship

Introduction

The U.S. Agency for International Development’s (USAID)Tuberculosis Private Sector (TBPS) Activity supports the Government ofIndonesia’s (GOI’s) goal of tuberculosis (TB) elimination by 2030. TBPSsupports a vision for fully scalable, market-based and government-supported PPMprogramming that accelerates private-sector diagnosis, notification, andsuccessful treatment to reduce TB incidence and mortality. TBPS will workclosely with a wide-range of national, provincial, and district-levelstakeholders to achieve the government’s broader vision and support theattainment of goals outlined in the National Tuberculosis Program ‘s(NTP)Strategic Plan to Control Tuberculosis 2016-2020.

The Ministry of Health (MOH) issued inNovember 2017 Guidelines on the Development of District Action Plans (DAP) for Tuberculosis, which clearly outlines a process for multi-sectoral engagement and development of the DAP.[1] The DAP is intended to: 1) outline roles andresponsibilities for the local government and other related parties to improvecommitment and leadership in controlling TB, 2) strengthen TB- related planningand budgeting; 3) improving coordination of activity planning, implementation,monitoring and evaluation. The DAP guidelines recognize that programming mustbe evidence-based with clear medium-term performance indicators and results,clear roles and responsibilities, and address resource and fundingrequirements. The DAP also recognizes that creating political support atprovincial and district levels and multi-sectoral stakeholder engagement iscritical. The role of the consultant will be to support the initialstewardship assessment in North and South Jakarta districts i
 ncollaboration with TBPS’ District Technical Officers and Meridian GroupInternational, Inc.’s Senior Manager, Ms. Cindi Cisek.

DPPMStewardship Strengthening Strategy

The District Public-Private Mix (DPPM) stewardshipstrategy will be designed to support strengthened governance and multi-sectoralengagement for the TB program at the district-level. Each district’s stewardshipstrategy will be tailored to the individual needs and progress of each districtbased on the results of the capacity assessment. We assume that North and SouthJakarta districts will be further along in the DAP process given their previoussupport from The Challenge TB (CTB) project. The firstphase of the DPPM stewardship strengthening will include two key steps: (1)Conduct district-level stewardship capacity assessment for North and SouthJakarta districts; (2) Develop district-specific stewardship strengtheningaction plan to be presented to the district authorities (the Mayor’ssecretariat (sekretaris daya) or TB DAP development team, and the healthdepartment) and major stakeholders where appropriate.

 

1)      Conduct district-levelstewardship capacity assessments. TPBS will conduct district-level capacityassessments that focus on the strengths and weaknesses of each district’s DAP. BothNorth and South Jakarta districts make use of the DKI Jakarta provincial actionplan. The assessment will review strengths and weaknesses of the DAP, interviewapproximately 10 key government and approximately 10 private sector stakeholdersin each district (a list of those to be interviewed with be developed incollaboration with TBPS) and identify opportunities for increased privatesector engagement.

 

-         Generating intelligence: Are DHOsand local stakeholders using an evidence-based approach to understand andanalyze the TB program and to build awareness around the roles of thenongovernment sector including for-profit players? DAP guidelines specificallymention situation analysis, focus group discussions for budget development,advocacy workshop for regulation on DAP, stakeholder dissemination of workshop,data collection, and multi-stakeholder workshops. 

-         Formulating strategic policydirection: Does district have a current, validated TB DAP? What arethe competitive strengths and weaknesses in the TB program and developstrategies and action plans that include the need for increased domesticresource mobilization and a specific role for non-profit and for-profit sectors?What is the overall budget for TB programming at the district-level? Has theDAP been signed/legalized by the authorities, and in which administrative stageis the DAP?

-         Building coalitions andpartnerships: MOHs and stakeholders establishor work through existing platforms for coordinating partnerships and advocatingfor multi-sectoral dialogue. Is there a functional TB Control Development Team,and how often do they meet? Or is the TB DAP development team anad-hoc entity? Who are the non-governmentalstakeholders that participate in the TB control development team (e.g.universities, professional associations, NGOs, and for-profit private sector)?Does the DAP include an activity matrix with overall roles andresponsibilities? What non-governmental resources are contributing to DAP?

-         Ensuringtools for implementation: Do MOH andpartners understand incentives and disincentives that exist and are partnersaware of existing tools including the legal and regulatory framework to overseeTB programming in the private sector?

-         Aligningpolicy objectives and market interventions: Are there existing initiatives that demonstrate how evidence-basedpolicies have led to strategic coordination among public- and private-sectors,including reshaping existing programs or introduction new market-interventionsand/or partnerships.

-         Accountabilityand transparency: Are thereappropriate data systems to provide data to track performance includingappropriate data from private partners to understand overall TB programperformance?  The key goal will be tomove from policy dialogue to action, implementing specific multi-sectoralinitiatives. 

 

Theassessment willalso determine the strengths and weaknesses of the district’s TB DAPdevelopment team and to what degree there is a strong multi-sectoralrepresentation. Meridian will develop and pilot a district-level capacityassessment tool to be used at the district-level, which will be refined inclose collaboration with the consultant and TBPS team.

 

Deliverables:  1) Written comments (in English) provided on thedraft capacity assessment tool; 2) written notes (in English) from eachinterview (1-2 pages per interview) in district-level capacity assessment forNorth and South Jakarta; 3) Writing of specific sections of the district-levelcapacity assessment reports (in English) for North and South Jakarta (to bedetermined).

 

2)      Develop district-levelstewardship strengthening action plans. Based onthe findings of the capacity assessment, TBPS will develop several keyrecommendations for the Mayor’s Secretariat and/or TB DAP Development Team toconsider in terms of concrete actions for further strengthening implementationof the DAP and multi-sector coordination. The consultant will develop aPowerPoint presentation (in Indonesian and English) that summarizes the district-levelcapacity assessment report findings and strategic recommendations to the TBControl Development Teams. The consultant will facilitate discussion with keystakeholders to determine any agreed upon action points to be included in theDAP.

 

Deliverables: 1)PowerPoint presentation (in Indonesian and English) developed to include keyfindings and recommendations on concrete actions for further strengthening DAPand multi-sector coordination; 2) Presentation delivered to key stakeholdersfrom the Mayor’s Secretariat and/or TB DAP Development Teams for both North andSouth Jakarta and the provincial health office DKI Jakarta.

ConsultantRequirements

§  At least 7 years’ professional experience in medical/healthrelated fields. Preferred (not mandatory) Master’s degree in a public health, medicine/pharmacology,or other related discipline.

§  Some private sector experience in Indonesia, either inservice-delivery setting, working through NGOs, or pharmaceutical companies.

§  Familiarity with MOH’s National TB strategy through previous workexperience related to the MOH.

§  Experience developing interview questionnaires, and conductinginterviews with senior level professional health officials

§  Fluency in Indonesian and strong writing, communication, andreporting skills

§  Fluency in English is desirable

§  Excellent interpersonal and communication skills

§  Ability to work within tight deadlines

§  Flexibility, adaptability, and resourcefulness

 

Period of Performance

 

January 1, 2020 – March 31, 2020 with an estimated level of effortof 40 days

 

Interested candidates please submit your CV to hr.indonesia@fhi360.org by 20December 2019 and put the title as “Consultant Strengthening DPPM Stewardship –(Name)”

 


[1] Guidelines on the Developmentof District Action Plan for Tuberculosis, Ministry of Health of the Republic ofIndonesia, 2017.